Individual
DECLAN C MGBUDEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17403 HARVARD AVE, CLEVELAND, OH 44128-1715
(234) 389-2121
Mailing address
10449 TOWNLEY CT, REMINDERVILLE, OH 44202-8152
(234) 389-2121
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
SS802996
OH
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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